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ORGANIZATION: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________________
STATED PURPOSE OF ORGANIZATION: ___________________________________________________________
_________________________________________________________________________________________
STATED PURPOSE OF VISIT: ___________________________________________________________________
_________________________________________________________________________________________
CONTACT #1: NAME _____________________________________________________________________
PHONE: Home _____________ Work _____________ ext. _____ Cellular _____________
CONTACT #2: NAME _____________________________________________________________________
PHONE: Home _____________ Work _____________ ext. _____ Cellular _____________
DATE REQUESTED: From __________________________ to __________________________
SECOND CHOICE: From __________________________ to ___________________________
NUMBER OF PERSONS IN GROUP: Leaders(kitchen staff excluded) _______ Campers _______ Total
_______
DEPARTURE TIME FROM MAINLAND: ___________________________________________
DEPARTURE TIME FROM GRACE ISLAND: _______________________________________
I, the undersigned, agree and state as follows:
1. This application is made on behalf of those who acknowledge Jesus Christ as Savior and Lord.
and whose purpose is to honor God and extend his Kingdom.
2. We fully agree to the published Statement of Faith of Grace Trust.
3. Our efforts are not commercial or for profit.
4. I have read and agree to abide by the rules and regulations of Grace Trust.
I, make this confirmation and sign this document believing the above to be true.
APPLICANT’S SIGNATURE: _____________________________________________________
Grace Trust reserves the right to grant or reject permission for the use of Grace Island facility based upon
the Statement of Faith and the purpose and principles of the Trust.
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